Organization · Type 2 NPI

Isd Kendallville LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Kendallville, IN

NPI number 1205017811 Active

Practice location

602 N Sawyer Rd
Kendallville, IN 46755-2566

Call (260) 599-0423 Map

Fax (260) 599-0447

Mailing address

5200 Virginia Way, Att: L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

NPI record

NPI: 1205017811
Entity type: Organization (Type 2)
Issued: Nov 26, 2007
Last updated: Aug 27, 2026
Status: Active

Other names

<unavail>
Kendallville Renal Center · doing business as
Kendallville Renal Center · doing business as

Authorized official

Samuel Wey
VP Licensure & Certification
(615) 341-6641

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1205017811

Isd Kendallville LLC's National Provider Identifier is 1205017811, issued on Nov 26, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Kendallville, IN. The record was last updated on Aug 27, 2026.